Skip to content

Finger Fractures: When to Consider External Fixation

Finger fractures are a common injury that can occur due to various reasons, such as sports activities, accidents, or falls. When a finger is fractured, it can cause significant pain, swelling, and limited mobility. In some cases, external fixation may be necessary to ensure proper healing and alignment of the fractured bone. This article will explore the different types of finger fractures, when external fixation is considered, the benefits and risks of this treatment approach, and the recovery process.

Types of Finger Fractures

Before delving into the topic of external fixation, it is essential to understand the different types of finger fractures that can occur. Finger fractures can be classified into several categories based on the location and severity of the fracture:

  • Phalangeal Fractures: These fractures occur in the bones of the fingers, known as phalanges. Phalangeal fractures can be further divided into proximal phalanx fractures (fractures near the knuckle) and middle or distal phalanx fractures (fractures closer to the fingertip).
  • Metacarpal Fractures: Metacarpal fractures involve the long bones in the hand that connect the fingers to the wrist. These fractures can occur in any of the five metacarpal bones.
  • Open Fractures: Open fractures, also known as compound fractures, are fractures in which the broken bone pierces through the skin. These types of fractures are more severe and have a higher risk of infection.
  • Stress Fractures: Stress fractures are small cracks in the bone that occur due to repetitive stress or overuse. While they are more common in weight-bearing bones, they can also occur in the fingers.

When to Consider External Fixation

External fixation is a treatment approach that involves the use of external devices, such as pins, wires, or screws, to stabilize and align the fractured bone. It is typically considered when other non-surgical methods, such as casting or splinting, are not sufficient to achieve proper healing. The decision to use external fixation depends on several factors, including:

  • Severity of the Fracture: External fixation is often recommended for complex fractures that involve multiple bone fragments or fractures that have caused significant displacement of the bone.
  • Open Fractures: In cases of open fractures, where the bone has pierced through the skin, external fixation may be necessary to prevent infection and promote healing.
  • Unstable Fractures: If the fractured bone is unstable and cannot be adequately stabilized with non-surgical methods, external fixation may be required.
  • Joint Involvement: Fractures that involve the joints of the fingers may require external fixation to ensure proper alignment and prevent long-term joint dysfunction.

Benefits of External Fixation

External fixation offers several benefits for the treatment of finger fractures:

  • Improved Stability: External fixation provides rigid stabilization of the fractured bone, allowing for better alignment and healing.
  • Early Mobilization: Unlike casting or splinting, external fixation allows for early mobilization of the finger, which can help prevent stiffness and promote faster recovery.
  • Reduced Risk of Infection: In cases of open fractures, external fixation can help reduce the risk of infection by providing a barrier between the fractured bone and the external environment.
  • Customizability: External fixation devices can be customized to fit the specific needs of the patient, allowing for individualized treatment.

Risks and Complications

While external fixation can be an effective treatment approach for finger fractures, it is not without risks and potential complications. Some of the risks associated with external fixation include:

  • Infection: Despite efforts to prevent infection, there is still a risk of developing an infection at the site of the external fixation device.
  • Hardware Failure: In some cases, the pins, wires, or screws used in external fixation may break or become loose, requiring additional surgery.
  • Nerve or Blood Vessel Damage: Improper placement of the external fixation device can result in damage to nearby nerves or blood vessels.
  • Stiffness and Joint Dysfunction: In some cases, external fixation may lead to stiffness and limited range of motion in the finger joints.

Recovery Process

The recovery process following external fixation for finger fractures typically involves several stages:

  1. Immediate Postoperative Period: After the surgery, the finger will be immobilized with a splint or cast to allow for initial healing. Pain medication may be prescribed to manage any discomfort.
  2. Follow-up Visits: Regular follow-up visits with the healthcare provider are essential to monitor the healing progress and make any necessary adjustments to the external fixation device.
  3. Physical Therapy: Once the initial healing has occurred, physical therapy may be recommended to regain strength, flexibility, and range of motion in the finger.
  4. Device Removal: Depending on the type of fracture and the progress of healing, the external fixation device may be removed after a few weeks or months.
  5. Continued Rehabilitation: Even after the removal of the external fixation device, rehabilitation exercises and activities may be necessary to fully restore function and prevent long-term complications.


Finger fractures can be a painful and debilitating injury, but with the appropriate treatment approach, such as external fixation, proper healing and recovery can be achieved. External fixation provides stability, early mobilization, and reduced risk of infection, making it a valuable option for complex or unstable finger fractures. However, it is important to consider the potential risks and complications associated with this treatment approach. The recovery process following external fixation involves several stages, including immobilization, follow-up visits, physical therapy, and device removal. By understanding the different aspects of finger fractures and when to consider external fixation, individuals can make informed decisions about their treatment options and work towards a successful recovery.

Leave a Reply

Your email address will not be published. Required fields are marked *